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------------ - --____...- -- , <br /> — ; <br /> � � �l��� V � ; <br /> � D � <br /> Application/Utility Per APR S 2 2013 � <br /> PUBLIC �VQ;ZKS <br /> ENC�}VEERINC/PUBLIC SERVICES 3200 CEDAR S1' EVGRETT VVA 98201 <br /> f� A � � <br /> f:eG �� Z`!—rJ `� DATE 4/11/13 <br /> PROJEC'I' LOCATION 1711 EDGEMOOR LN <br /> UTILI I'l' ID NUMBfR lobN503606 i <br /> OWNER Comcast (SEFNCO�subcontractor�J � <br /> ADDRESS 1525 75TH 5T SW STE 200 Attn:Vicki Burns <br /> CITY Everett,wA Z�p eazo3 � <br /> i <br /> UTILITY CONTAC7 Comta t:Vicki B rns S F 8 v rl Pi PHONE�omwst:425-263•54615EFNC0:253�299-8604 I <br /> 51GNATURE <br /> CALL (425) 257-8 0 IiV1MEUlA1'ELY PRIOR TO S"I'ARTING WORK! <br /> JOB DESCR[Pl'ION: T\\'O (2) C PIES OP 'fHE PLANS AS AMGND6D, SIGi�'ED, A1�'D APPROVED � <br /> TIIE.��IICANT.COv1RACTOR IIERFPI'AOPE[i 1011ULD A�D SA\'[IIA4Vl.l.SS TIIC(If\'01'[PCRCiI i'QR n\V'��U ALL CLA1�5!DR DA�i4GCi.CUSIS CSPC�.SLS.UR <br /> t'AbSCS Of ACTIO�Tli�l VAl'A0.15E PECAUS[OF I�S�nLL.V IOS Avp�fA1VTLVA]Cf.Of TNE INPRO�'C4k�T OR Oi11CR NIGIIT-0(�NA1'US[,HFRE70 APPLIG�FOR AN� <br /> VVMillC0.AGRFfS IO REUO\'E SA\IL 1P0�SO11Cf!RO\I Tllf flTl'A>D TO PfPI�f'6 PI��01IC PNOPf.Ri1'IlA\IAGf.O T16BC0\' 1'IJl\II<9(1V Iti IILNHIY'fM1�F.��O i10 iHf <br /> NpRI;�i CONDI>'G 10 THG nPFNOCEU 1'lMS ANU SPC(IFlCAI'IOVS.STNCEi(Rt)titi16G R'11A.HE 11,1Df:11Y[ION6G INE\fIIIV6 U9LL O[PEN CURRENi flil'OPDINA]CF.S <br /> A�\'D Df SIGS S COVSTRbI IIOS 5T��UARDI . <br /> ......""'.....""'..................................."'"................................................"'"'.............................. <br /> APPLICANT COMMENTS: <br /> Bore/trench in the shoulder of the ROW approx 5 k, hore roadway 45 h,trench/bore 40 ft,bore sidewalk 5 k,tre�ch/bore 35 ft, <br /> driveway 20 h,trench/hore 10 ft and set a carson,trenth/bore 60 h to extend and hury CAN service drop to 1711 EDGEMOR LN. <br /> DO NOT WRITL• BGLOW l'lil3 LING <br /> CI"I'Y COM�IENTS: PL'RMIT ti _ <br /> INIl'!AL INSPECTIOI� DATE SIGNATURE <br /> PERMI"I' ISSUED D.4TE SIGNAI'URE <br /> CONSTRUCTION APPROVED DATE SIGNATURE <br /> Cr1LL (425) 257-8810 Il�'1MGDIATELI' Pk10R '1'O S1'AR'1'1NC N'ORK! <br /> uwrecnrv- cm riN�corr—�rriicwr ri:�encorv �rri.icir+i�rit�.ncorvi <br />